Individual provider · Type 1 NPI

Patrick Micheal Cusack, DMD, MSD

Orthodontics and Dentofacial Orthopedics Dentistry · Peoria, IL

NPI number 1073733275 Active

Practice location

1324 W. Northmoor Rd.
Peoria, IL 61614

Call (309) 693-3200 Map

Fax (309) 693-2499

Mailing address

1324 W Northmoor Rd
Peoria, IL 61614-3470

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XNone listed

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1073733275

Patrick Micheal Cusack, DMD, MSD's National Provider Identifier is 1073733275, issued on Apr 27, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Peoria, IL. The record was last updated on Jul 8, 2007.